为医疗保健工作流程构建合规的 GenAI 系统.pdf

1、 2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.P E X 3 1 9Sudhir GuptaHe/himPrincipal Partner Solutions Architect,Data&AI AWSVeena VasudevanShe/h

2、erPrincipal Partner Solutions Architect,Data&AI AWSSanchit JainHe/himPractice Leader QuantiphiArchitecting Compliant GenAI Systems for Healthcare Workflows 2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.Agenda Business context and challenges Architecture and workflow Code walkthr

3、ough Path to production Resources Q&A 2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.Business context and challenges 2025,Amazon Web Services,Inc.

4、or its affiliates.All rights reserved.Over 4.6M insurance claims processed daily in US healthcare10%of ICD-10 claims denied since implementation65%of denied claims never resubmitted7%initial denial rate due to coding errors(AMA)Key StatisticsBusiness context ICD-10 Coding For Healthcare Internationa

5、l Classification of Diseases,10th Revision(ICD-10)70,000+standardized codes that translate medical diagnoses into billable insurance claimsAMA=American Medical Association 2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.Extract uncoded Diagnosis Descriptions Automatic CodingGenera

6、te Coding Success LogAudit for CoincidenceComplete CodingGenerate Coding Failure LogManualCodingCheck&Modify regexpsSuccessWhether Correspond to multiple regexpsWhether ModifyYesNoNoYesNoNoYesYesTraditional workflow 2025,Amazon Web Services,Inc.or its affiliates.All rights reserved.Complex code spec